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Individual

JEFFREY GEWIRTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
74 PASCACK RD, SUITE 6, PARK RIDGE, NJ 07656-1935
(201) 391-1113
Mailing address
74 PASCACK RD, SUITE 6, PARK RIDGE, NJ 07656-1935
(201) 391-1113

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N006024
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02569175
NY
Enumeration date
12/08/2005
Last updated
02/11/2011
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